What is this medicine?

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

liver disease

skin rash or inflamed and irritated skin

an unusual or allergic reaction to parabens, lidocaine, other medicines, foods, dyes, or preservatives

pregnant or trying to get pregnant

breast-feeding

How should I use this medicine?

Apply the patches over the most painful areas of skin. Make sure the skin does not have any open sores or rashes. If irritation or burning feelings occur, remove the patch or patches, and do not apply the patch again until the irritation resolves. Do not touch your eyes after touching a patch. The medicine can irritate your eyes. If medicine gets in your eye, flush the eye with water, and protect the eye until sensation returns. You may apply up to 3 patches to different skin areas at one time. Leave the patches on for only 12 hours. After a patch has been on your skin for up to 12 hours, remove the patch and throw it away. Do not apply another patch or patches for at least 12 hours. If you use more than 3 patches at a time or leave a patch on your skin for more than 12 hours, you may have serious side effects. Patches may be cut into smaller sizes with scissors before removing the adhesive liner. You may wear clothing over the patches. Do not use a heating pad or electric blanket over the patch. Use this medicine as directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

Apply the patches as needed for pain.

What may interact with this medicine?

dofetilide

heart medicines

MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

other ointments or creams that may contain anesthetic medicine

What should I watch for while using this medicine?

Be careful to avoid injury while the area is numb from the medicine, and you are not aware of pain.

If you are going to have a MRI procedure, let your MRI technician know about the use of these patches. Some drug patches contain an aluminized backing that can become heated when exposed to MRI and may cause burns. You may need to temporarily remove the patch during the MRI procedure.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

chest pain

dizziness

skin rash

swelling of face, lips, or tongue

wheezing or difficulty breathing

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

skin irritation such as redness or swelling

unusual sensations such as numbness, tingling, or burning feelings

Where should I keep my medicine?

Keep out of the reach of children or pets. Accidental chewing or swallowing of a new or used patch may cause serious and life-threatening effects. A used patch still contains enough medicine to cause serious side effects and even death to children or pets.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not store the patches out of their wrappers. Throw away any unused medicine after the expiration date.

Remember, keep this and all other medicines out of the reach of children,
never share your medicines with others, and use this medication only for the indication prescribed.